Carlson, Dirk T
Carlson, Dirk T is an individual health care provider with primary practice located at 100 E Idaho St Suite 302, Boise ID 83712-6267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Carlson, Dirk T can be contacted via phone (208) 343-7501.Contact Information
Primary practice address
100 E Idaho St Suite 302
Boise ID 83712-6267
Phone: (208) 343-7501
Fax: (208) 336-8248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M6506 | Idaho |
Profile Details
| NPI number | 1508850140 |
|---|---|
| LBN Legal business name | Carlson, Dirk T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Mar 4th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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